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PREMATURE EJACULATION (PE) As per ISSM (International Society for Sexual Medicine), "Premature ejaculation is a male sexual dysfunction characterized by ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration; and, inability to delay ejaculation on all or nearly all vaginal penetrations; and, negative personal consequences, such as distress, bother, frustration, and/or the avoidance of sexual intimacy." Diagnosis: The diagnosis is based upon initial history taking and few blood tests. It may be a life long or acquired premature ejaculation Treatment: Common treatment options for premature ejaculation include behavioral techniques, topical anesthetics, medications and counseling. Keep in mind that it might take time to find the treatment or combination of treatments that will work for you. Behavioral treatment plus drug therapy might be the most effective course. Oral medications: Many drugs can be used for the treatment of premature ejaculation but they must be used under the guidance of a qualified medical practitioner. Some anti depressants are used in the treatment of premature ejaculation. Counseling: In premature ejaculation like erectile dysfunction, the female partner is unsatisfied and hence for good results, the counselling should involve both the partners than a man .This is called as couple counselling. Both the partners are counselled for various techniques of sexual pleasure so that both are satisfied